A Randomized Controlled Trial of a Behavioral Activation Intervention to Increase Engagement with Life and Well-Being in Older Adults.

IF 3.1 3区 医学 Q3 GERIATRICS & GERONTOLOGY Gerontology Pub Date : 2024-08-26 DOI:10.1159/000541079
Julia E T Scott, Trevor G Mazzucchelli, Ruth Walker, Mary A Luszcz, Tim D Windsor
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Abstract

Introduction: Engagement with life is central to aging well. There is currently a lack of flexible programs for promoting engagement that tailor to the unique interests, capacities, and life circumstances of individuals. We designed and evaluated a new program for promoting engagement with later life based on principles of behavioral activation.

Methods: A total of 135 adults aged 65 years and older who scored at or below the median on the Life Engagement Test were randomly assigned to either a 6-week behavioral activation program (n = 69) or a 6-week well-being program based on brief positive psychology interventions (the active control; n = 66). Participants completed assessments at baseline, 1-week follow-up, and 3-month follow-up. The primary outcome was engagement with life, and secondary outcome measures included social network characteristics, measures of mental health, well-being, and psychological and self-regulatory resources.

Results: Participants in both conditions showed improvements in engagement with life post-intervention that were sustained at 3 months. Post-intervention improvements in both conditions were observed across most secondary outcomes; however, for several outcomes, participants with more limited functional and cognitive resources benefitted from participation in the positive psychology (active control) condition, but not the treatment condition.

Conclusion: Similar levels of improvement in engagement with life and well-being were evident for participants who completed a behavioral activation-focused intervention, compared with participants who completed a positive psychology-focused intervention. The positive psychology approach may confer greater benefits for emotional well-being among those with poorer functional and cognitive abilities.

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一项关于行为激活干预的随机对照试验,旨在提高老年人的生活参与度和幸福感。
简介参与生活是安享晚年的核心。目前还缺乏针对个人独特兴趣、能力和生活环境的灵活的促进参与计划。我们根据行为激活原则设计并评估了一项促进晚年生活参与度的新计划:共有 135 名 65 岁及以上、在 "生活参与度测试 "中得分达到或低于中位数的成年人被随机分配到一个为期 6 周的行为激活项目(n = 69);或一个为期 6 周、基于简短积极心理学干预的幸福项目(积极对照组;n = 66)。参与者分别在基线、1 周随访和 3 个月随访时完成评估。主要结果是对生活的参与度,次要结果测量包括社会网络特征、心理健康测量、幸福感以及心理和自我调节资源:结果:两种情况下的参与者在干预后的生活参与度都有所提高,并在 3 个月后得以保持。在大多数次要结果中,两种干预条件下的参与者在干预后都有所改善;然而,在一些结果中,功能和认知资源较为有限的参与者从参与积极心理学(积极对照)条件中获益,而不是治疗条件:结论:与完成积极心理学干预的参与者相比,完成以行为激活为重点的干预的参与者在参与生活和幸福感方面的改善程度相似。积极心理学方法可能会给那些功能和认知能力较差的人带来更大的情绪幸福感益处。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Gerontology
Gerontology 医学-老年医学
CiteScore
6.00
自引率
0.00%
发文量
94
审稿时长
6-12 weeks
期刊介绍: In view of the ever-increasing fraction of elderly people, understanding the mechanisms of aging and age-related diseases has become a matter of urgent necessity. ''Gerontology'', the oldest journal in the field, responds to this need by drawing topical contributions from multiple disciplines to support the fundamental goals of extending active life and enhancing its quality. The range of papers is classified into four sections. In the Clinical Section, the aetiology, pathogenesis, prevention and treatment of agerelated diseases are discussed from a gerontological rather than a geriatric viewpoint. The Experimental Section contains up-to-date contributions from basic gerontological research. Papers dealing with behavioural development and related topics are placed in the Behavioural Science Section. Basic aspects of regeneration in different experimental biological systems as well as in the context of medical applications are dealt with in a special section that also contains information on technological advances for the elderly. Providing a primary source of high-quality papers covering all aspects of aging in humans and animals, ''Gerontology'' serves as an ideal information tool for all readers interested in the topic of aging from a broad perspective.
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